Vacancies on NICE Quality Standards Advisory Committees (QSAC)
Tuesday, 08 July 2014 10:07
NICE is currently recruiting for additional members to join their Quality Standards Advisory Committees (QSAC) to support delivery of the library of quality standards topics.
NICE's quality standards are central to supporting the Government's vision for a health and social care system focussed on delivering the best possible outcomes for people who use services. Derived from NICE guidance and other accredited sources, they are a concise set of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. The standards are also used to develop indicators for potential inclusion within the Clinical Commissioning Groups Outcome Indicator Set (CCGOIS) and Quality and Outcomes Framework (QOF) for general practice.
Job Profiles and Training and Education for Decontamination Technicians -
The MHRA (Regulating medicines and medical devices) recent publication 'Managing Medical devices: Guidance for healthcare and social service organisations' April 2014 states:
As recommended within the document the Institute of Decontamination Sciences (IDSC) have recommended, accredited training courses for technicians and these can be found on the institutes website at: http://www.idsc-uk.co.uk and following the link on the tab to the education section on the IDSC website.
The IDSC has also developed generic job templates, along with National profiles from which job descriptions for endoscopy technicians can be developed these can also be found by following the link to the education section on the IDSC website.
Over time it is hoped that this will bring endoscopy technicians into the same group as Healthcare Science staff groups with the support and networking that this will provide and consequently raise the overall standards of decontamination within endoscopy.
Dr Helen Griffiths
Advisor Decontamination BSG
ERCP – The Way Forward, A Standards Framework
Mark Wilkinson, (BSG Endoscopy, working party convenor and chairman) et al.
To improve the quality and availability of ERCP in the UK, a working party was set up incorporating a number of stakeholders (Appendix 3) to make recommendations to achieve this goal. The attached framework document is the output of that process. It is recognised that not all changes can be achieved immediately, but that these are the standards to be aimed for. Though regulatory frameworks differ among the 4 nations of the UK (and delegates from Scotland, Wales and Ireland were represented on the working party) it is intended that this framework will be applicable to the whole of the UK.
In brief its recommendations are:
- ERCP should only be carried out in facilities dedicated to high standards of performance and safety, as measured by key performance indicators.
- That there should be a minimum of 75 cases per annum for ERCP endoscopists, and 150 cases minimum per facility, although we should be aiming for a minimum of 100 cases and 200 cases respectively.
- That ERCP services should work collaboratively in a regional or hub-and-spoke model, with simple and rapid referral pathways established.
- That facilities for urgent or emergency ERCP should be widely available.
- That minimum standards for independent practitioners should be based on intention to treat and include a >=85% cannulation rate of virgin papillae, CBD stone clearance for >=75% of those undergoing 1st ever ERCP, and for patients with an extra-hepatic stricture, successful stenting with cytology or histology where appropriate at 1st ERCP in >=80%.
- That performance criteria should be monitored by a detailed audit and feedback process via a strengthened JAG/GRS process, and be incorporated into consultant appraisal.
- That the organisation and standards for training for ERCP should follow from the above performance criteria.
- That newly appointed consultants are mentored to ensure a safe and effective transition from trainee to independent practitioner.
- That high quality performance in ERCP service and training should support high quality research.
- There should be a national registry of ERCP cases to monitor practice and outcomes which will aid a cycle of continuous improvement and provide research data to plan better care in the future.
Wednesday, 16 April 2014 15:02
In recent years a key area of concern for the BSG has been the lack of 24/7 provision of Acute Upper GI Bleeding (AUGIB) services. With a mortality rate of 10% and no notable improvement on this rate for years, the lack of out-of-hours coverage of services for AUGIB services is a challenge which must be urgently addressed.
Over the past year, the BSG has worked closely with NHSIQ to help identify areas which do not have AUGIB services available at all times, as well as how we can support gastroenterologists across the country to improve the availability of these services. Together we have produced a report which provides an overview of this project. Click here to read the report.
The survey, which is at the heart of this report, found that 23% of endoscopy units in England do not have AUGIB services that offer endoscopy patients 24/7 if required, and that 44% of units do not offer all acute admissions an endoscopy within 24 hours of admission with a GI bleed. You will note that the BSG, with support from NHS IQ, held workshops on this issue earlier this year.
The BSG will continue to campaign on this important issue and work with members and other bodies to promote improved provision of 24/7 AUGIB services.
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